| NPI | 1760051205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 259174) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3672-0) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 12764924-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 9710) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202206926NP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 31329) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2024043168) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209025677) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 68177) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61306745) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4016096) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MT APRN-193990) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 195082) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 9502242) | |
| Enumeration Date | 2021-06-19 |
| Last Update Date | 2025-10-26 |